ALYSSA BETH WIENKE

WOODSTOCK, IL
NPI1376044693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.013036)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: AZ  7389)
Enumeration Date2018-02-22
Last Update Date2020-05-27
Business Address
Mrs. ALYSSA BETH WIENKE OTR/L
2990 RAFFEL RD
WOODSTOCK, IL 60098-8466
Phone number: 815-338-8200
Mailing Address
Mrs. ALYSSA BETH WIENKE OTR/L
PO BOX 361
HAMPSHIRE, IL 60140-0361
Phone number: 847-417-0386